| NPI | 1902202930 |
|---|---|
| Doing Business As | FOREVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | RESHMA DHAKE Dentist 773-685-2135 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026409) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |